Individual
ASHOK POLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6730 ROOSEVELT AVE STE 303, MIDDLETOWN, OH 45005-0017
(513) 874-0486
(513) 280-8868
Mailing address
PO BOX 229, MIAMISBURG, OH 45343-0229
(513) 874-0486
(513) 280-8868
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-124217
OH
208100000X
Physical Medicine & Rehabilitation Physician
47220
KY
208M00000X
Hospitalist Physician
35-124217
OH
208M00000X
Hospitalist Physician
47220
KY
208VP0000X
Pain Medicine Physician
35-124217
OH
208VP0000X
Pain Medicine Physician
47220
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110987
—
OH
05
—
7100319030
—
KY
Enumeration date
06/17/2008
Last updated
07/25/2023
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